Article Open Access Volume 6 · Issue 2 · 2026 pp. 51–53

The Relationship Between Disease Activity, Comorbidity Burden, and Functional Status with Self-Esteem in Patients with Rheumatoid Arthritis

Mehmet Ergin1 ORCID, Özgül Soysal Gündüz1 ORCID, Timur Pırıldar1 ORCID
1 Department of Internal Medicine, Manisa Celal Bayar University Faculty of Medicine, Manisa, Türkiye
Published: 2026 DOI: 10.14744/ejma.268051 Article ID: EJMA-59138
Abstract
Objectives: Rheumatoid arthritis (RA) is a chronic inflammatory disease with systemic involvement that gives rise not only to physical but also to psychosocial consequences. The purpose of this study was to evaluate the relationship be-tween self-esteem and disease activity, functional status, and comorbidities in patients with RA.
Methods: This cross-sectional study enrolled patients with a confirmed diagnosis of rheumatoid arthritis. Disease ac-tivity was measured using the DAS28 score, functional status was assessed with the Health Assessment Questionnaire (HAQ), and self-esteem was evaluated using the Rosenberg Self-Esteem Scale.
Results: A statistically significant association was found between increased disease activity, higher comorbidity burden, and lower self-esteem scores.
Conclusion: The psychosocial dimension must be taken into consideration when evaluating patients with RA. Keywords: Rheumatoid arthritis, self-esteem, disease activity, comorbidity, functional status

Keywords: Rheumatoid arthritis, self-esteem, disease activity, comorbidity, functional status

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